MEDICARE: PALMETTO LONG-TERM CARE COALITION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363A00000X	Physician Assistant
3	363LA2200X	Adult Health Nurse Practitioner
4	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1780073924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMETTO LONG-TERM CARE COALITION

Provider Business Mailing Address
First Line	:	10900 NUCKOLS RD
Second Line	:	SUITE 110
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9276
Country	:	US
Telephone Number	:	404-822-5378
Fax Number	:

Provider Business Practice Location Address
First Line	:	10900 NUCKOLS RD
Second Line	:	SUITE 110
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9276
Country	:	US
Telephone Number	:	404-822-5378
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	KENNETH BRATTON
Credential	:
Telephone Number	:	404-822-5378

Provider Enumeration Date	:	01/12/2015
Last Update Date	:	01/12/2015

Similar Medicare Providers

1750732939 — MARGARET THEADO LPC
Practice Location Address:

10900 NUCKOLS RD STE 100
GLEN ALLEN, VA
23060-9276

Practice Phone: 804-207-6737
Practice Fax:

1053715615 — ALLYALIGN HEALTH, INC.
Practice Location Address:

10900 NUCKOLS RD , SUITE 110
GLEN ALLEN, VA
23060-9276

Practice Phone: 804-747-0720
Practice Fax: 804-823-2568

1639568876 — VIRGINIA LONG-TERM CARE COALITION
Practice Location Address:

10900 NUCKOLS RD , SUITE 110
GLEN ALLEN, VA
23060-9276

Practice Phone: 404-822-5378
Practice Fax:

1073052114 — MISSOURI GATEWAY HEALTH, LLC
Practice Location Address:

10900 NUCKOLS RD , STE 110
GLEN ALLEN, VA
23060-9276

Practice Phone: 804-396-6412
Practice Fax: 804-482-2756

1174243729 — LILYANA BERHANU SINTAYEHU LPC
Practice Location Address:

10900 NUCKOLS RD STE 100
GLEN ALLEN, VA
23060-9276

Practice Phone: 804-207-6737
Practice Fax:

1982472254 — LEWIS R SLUSHER LMFT
Practice Location Address:

10900 NUCKOLS RD STE 100
GLEN ALLEN, VA
23060-9276

Practice Phone: 804-207-6737
Practice Fax:

Directions to “PALMETTO LONG-TERM CARE COALITION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.